Automaticfor age-related pathological periventricular white matter changes (WMC) using k-means clustering and morphological features on T2-weighted and proton density (PD) MR images

Age-related WMCs frequently appear in older subjects and are known to be associated with cognitive impairment and brain pathologies such as Alzheimer's disease and stroke. However, it is difficult to detect WMC correctly by using only intensity-based clustering scheme because the intensity levels of WC are similar to those of gray matter(GM). In this paper, we aimed to develop a fast and accurate scheme to detect and segment periventricular WMCs by using both k-means clustering method and morphological features.